Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.

Detalhes bibliográficos
Autor(a) principal: Brant, Luisa Campos Caldeira
Data de Publicação: 2022
Outros Autores: Pinheiro, Pedro Cisalpino, Ribeiro, Antônio Luiz Pinho, Machado, Ísis Eloah, Correa, Paulo Roberto Lopes, Santos, Mayara Rocha dos, Souza, Maria de Fátima Marinho de, Malta, Deborah Carvalho, Passos, Valéria Maria de Azeredo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFOP
dARK ID: ark:/61566/0013000009zvw
Texto Completo: http://www.repositorio.ufop.br/jspui/handle/123456789/16799
https://doi.org/10.5334/gh.1101
Resumo: Introduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH.
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spelling Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.Cardiovascular diseasesHospitalizationSocial vulnerabilityIntroduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH.2023-06-26T20:04:50Z2023-06-26T20:04:50Z2022info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfBRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022.2211-8179http://www.repositorio.ufop.br/jspui/handle/123456789/16799https://doi.org/10.5334/gh.1101ark:/61566/0013000009zvwThis is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/ licenses/by/4.0/. Fonte: PDF do artigo.info:eu-repo/semantics/openAccessBrant, Luisa Campos CaldeiraPinheiro, Pedro CisalpinoRibeiro, Antônio Luiz PinhoMachado, Ísis EloahCorrea, Paulo Roberto LopesSantos, Mayara Rocha dosSouza, Maria de Fátima Marinho deMalta, Deborah CarvalhoPassos, Valéria Maria de Azeredoengreponame:Repositório Institucional da UFOPinstname:Universidade Federal de Ouro Preto (UFOP)instacron:UFOP2024-11-10T21:40:44Zoai:repositorio.ufop.br:123456789/16799Repositório InstitucionalPUBhttp://www.repositorio.ufop.br/oai/requestrepositorio@ufop.edu.bropendoar:32332024-11-10T21:40:44Repositório Institucional da UFOP - Universidade Federal de Ouro Preto (UFOP)false
dc.title.none.fl_str_mv Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
title Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
spellingShingle Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
Brant, Luisa Campos Caldeira
Cardiovascular diseases
Hospitalization
Social vulnerability
title_short Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
title_full Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
title_fullStr Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
title_full_unstemmed Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
title_sort Cardiovascular mortality during the COVID-19 pandemics in a large Brazilian city : a comprehensive analysis.
author Brant, Luisa Campos Caldeira
author_facet Brant, Luisa Campos Caldeira
Pinheiro, Pedro Cisalpino
Ribeiro, Antônio Luiz Pinho
Machado, Ísis Eloah
Correa, Paulo Roberto Lopes
Santos, Mayara Rocha dos
Souza, Maria de Fátima Marinho de
Malta, Deborah Carvalho
Passos, Valéria Maria de Azeredo
author_role author
author2 Pinheiro, Pedro Cisalpino
Ribeiro, Antônio Luiz Pinho
Machado, Ísis Eloah
Correa, Paulo Roberto Lopes
Santos, Mayara Rocha dos
Souza, Maria de Fátima Marinho de
Malta, Deborah Carvalho
Passos, Valéria Maria de Azeredo
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Brant, Luisa Campos Caldeira
Pinheiro, Pedro Cisalpino
Ribeiro, Antônio Luiz Pinho
Machado, Ísis Eloah
Correa, Paulo Roberto Lopes
Santos, Mayara Rocha dos
Souza, Maria de Fátima Marinho de
Malta, Deborah Carvalho
Passos, Valéria Maria de Azeredo
dc.subject.por.fl_str_mv Cardiovascular diseases
Hospitalization
Social vulnerability
topic Cardiovascular diseases
Hospitalization
Social vulnerability
description Introduction: The impact of COVID-19 pandemics on cardiovascular diseases (CVD) may be caused by health system reorganization and/or collapse, or from changes in the behaviour of individuals. In Brazil, municipalities were empowered to define regulatory measures, potentially resulting in diverse effects on CVD morbimortality. Objective: To analyse the impact of COVID-19 pandemics on CVD outcomes in Belo Horizonte (BH), the sixth greater capital city in Brazil, including: mortality, mortality at home, hospitalizations, intensive care unit utilization, and in-hospital mortality; and the differential effect according to sex, age range, social vulnerability, and pandemic’s phase. Methods: Ecological study analysing data from the Mortality and Hospital Information System of BH residents aged ≥30 years. CVD was defined as in Chapter IX from ICD- 10. Social vulnerability was classified by a composite socioeconomic index as high, medium and low. The observed age-standardized rates for epidemiological weeks 10–48, 2020, were compared to the expected rates (mean of 2015–2019). Risk ratios (RiR) were analysed and 95% confidence intervals were calculated for all estimates. Population projected to 2020 for BH and its census tracts were used to calculate rates. Results: We found no changes in CVD mortality rates (RiR 1.01, 95%CI 0.96–1.06). However, CVD deaths occurred more at homes (RiR 1.32, 95%CI 1.20–1.46) than in hospitals (RiR 0.89, 95%CI 0.79–0.99), as a result of a substantial decline in hospitalization rates, even though proportional in-hospital deaths increased. The rise in home deaths was greater in older adults and in had an increasing gradient in those more socially vulnerable (RiR 1.45); for high (RiR 1.45), medium (RiR 1.32) and low vulnerability (RiR 1.21). Conclusion: The greater occurrence of CVD deaths at home, in parallel with lower hospitalization rates, suggests that CVD care was disrupted during the COVID-19 pandemics, which more adversely affected older and more socially vulnerable individuals, exacerbating health inequities in BH.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023-06-26T20:04:50Z
2023-06-26T20:04:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv BRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022.
2211-8179
http://www.repositorio.ufop.br/jspui/handle/123456789/16799
https://doi.org/10.5334/gh.1101
dc.identifier.dark.fl_str_mv ark:/61566/0013000009zvw
identifier_str_mv BRANT, L. C. C. et al. Cardiovascular mortality during the COVID-19 pandemics in a large brazilian city: a comprehensive analysis. Global Heart, v. 17, n. 1, artigo e11, 2022. Disponível em: <https://globalheartjournal.com/article/10.5334/gh.1101/>. Acesso em: 11 out. 2022.
2211-8179
ark:/61566/0013000009zvw
url http://www.repositorio.ufop.br/jspui/handle/123456789/16799
https://doi.org/10.5334/gh.1101
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFOP
instname:Universidade Federal de Ouro Preto (UFOP)
instacron:UFOP
instname_str Universidade Federal de Ouro Preto (UFOP)
instacron_str UFOP
institution UFOP
reponame_str Repositório Institucional da UFOP
collection Repositório Institucional da UFOP
repository.name.fl_str_mv Repositório Institucional da UFOP - Universidade Federal de Ouro Preto (UFOP)
repository.mail.fl_str_mv repositorio@ufop.edu.br
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